Collections Manager, Revenue Cycle Management

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Collections Manager, Revenue Cycle Management

Collections Manager, Revenue Cycle Management
Richmond, VA
• Revenue Cycle Management

Full-time

As Collections Manager
, you are responsible for effective and efficient accounts receivable management of assigned payers. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. These duties include management of staff, authorizing and reviewing all adjustments and refund requests, evaluating staff on-job performance, interviewing perspective new employees, hiring of new employees, morale building, training, establishing/maintaining policies and procedures for department, analyzing and maintaining A/R >90 days (about 3 months) at an acceptable level, and ensure all reports are worked within the established guidelines and time frames.

The RCM Manager is also involved directly with collection efforts on outstanding accounts which include telephone contact with payers and parents, working collection reports, auditing accounts, appealing denied claims as necessary, updating accounts as necessary, submitting and monitoring problem packs, identifying carrier related denial trends, maintaining carrier issue logs on problem carriers and meet or exceed department goals. Performs required tasks in all relevant billing systems (including but not limited to Compulink, Advanced

MD, MDOffice, etc.), electronic claims verification systems and payer portals, Microsoft Office applications, and others.

What You’ll Do

• Maintains and evaluates staff according to company policy and procedures.
• Interviews and hires qualified employees.
• Maintains staffing levels proportionate to the volume of accounts to preserve optimum efficiency and superior collections.
• Discipline employees fairly and consistently, ensuring compliance with policy, procedures, and productivity standards.
• Implement productivity standards and maintain reports identifying compliance breaches
• Schedules staff work hours to ensure full coverage during normal work hours and distributes workflow to maximize efficiency.
• Maintains logs on PTO requests, absences, tardiness, etc. along with approving hours worked.
• Operates the department within the budget.
• Approves overtime only when necessary and within the budget.
• Works to minimize staff turnaround through good management and teamwork.
• Manages the day-to-day operations within RCM.
• Delegate and prioritize accounts to be worked.
• Ensure all accounts are worked in a timely and efficient manner.
• Provide guidance and training as necessary.
• Encourages and maintains open communication with various departments to address issues,
• Conduct regularly scheduled staff meetings.
• Streamline workflow.
• Review adjustment and refund request submitted by staff within a timely manner.
• Review all adjustments and refund for accuracy at appropriate delegation of authority level
• Forward all adjustments and refunds reviewed for Director approval in accordance with established thresholds
• Completes monthly/daily reports that communicate the performance and progress of the department.
• Evaluate staff on job performance.
• Monitor work to ensure productivity standards are met.
• Meet with staff at least monthly to discuss quality of work, productivity standards, attendance, and carrier issues.
• Assist with yearly performance evaluation of employees.
• Maintain, assist in the development of, and educate staff on department policy and procedures
• Ensures and analyzes the performance of the employees on working the following reports timely and accurately:
• Not Worked Report – Summarizes outstanding accounts not worked within the department’s guidelines.
• Denial Report – Identifies specific denials posted from EOBs received.
• Reject Report – Identifies specific denials for claims submitted electronically.
• Reviews AR Reports weekly with Director and determines areas of concern to be distributed to RCM team to work
• Analyze other management reports received from Regional Director.
• Make the necessary telephone or written contact.
• Contact payers to discuss carrier issues and solutions.
• Contact parents to obtain accurate insurance information.
• Phone appeals on denied claims.
• Contact…